2024-06-06T14:07:19-05:00 2023-12-31 390747409 REILLY PENNER & BENTON LLP 1233 NORTH MAYFAIR RD SUITE 302 MILWAUKEE WI 532263255 990 2023-01-01 366157689 NORTHERN ILLINOIS AND IOWA LABORERS' HEALTH & WELFARE TRUST NORT 3097863361 2837 7TH AVENUE ROCK ISLAND IL 61201 BRADLY LONG TRUSTEE 3097863361 2024-06-04 1 BRADLY LONG 999009999 1 JOSHUA BIERBACH P01449255 4142717800 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z BRADLY LONG 2837 7TH AVENUE ROCK ISLAND IL 61201 15352337 0 X N/A X 1967 IL THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES REPRESENTED BY THE UNION AND FOR OTHER EMPLOYEES FOR WHOM CONTRIBUTIONS ARE OR HAVE BEEN PAID INTO AND ACCEPTED BY THE PLAN. THE SPOUSES AND OTHER DEPENDENTS OF QUALIFYING EMPLOYEES ARE ALSO ELIGIBLE FOR BENEFITS. 7 7 8 0 0 0 0 0 6025303 5844801 1798640 837949 1567076 1599361 9391019 8282111 0 0 5892678 6958818 212284 223812 0 0 0 1207570 1146266 7312532 8328896 2078487 -46785 37322144 39713009 7950432 7592579 29371712 32120430 X THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS FOR ELIGIBLE EMPLOYEES REPRESENTED BY THE UNION AND FOR OTHER EMPLOYEES FOR WHOM CONTRIBUTIONS ARE OR HAVE BEEN PAID INTO AND ACCEPTED BY THE PLAN. THE SPOUSES AND OTHER DEPENDENTS OF QUALIFYING EMPLOYEES ARE ALSO ELIGIBLE FOR BENEFITS. 0 0 8328896 7444162 TO PROVIDE HEALTH AND WELFARE BENEFITS TO ELIGIBLE EMPLOYEES REPRESENTED BY UNIONS LOCAL NO. 309, NO. 544, AND FOR OTHER ELIGIBLE EMPLOYEES FOR WHOM CONTRIBUTIONS ARE OR HAVE BEEN PAID INTO THE TRUST BY CONTRACTORS. 8328896 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 167 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 0 0 1 1 0 0 1 1 0 0 1 1 1 1 0 X JULIE LAGE 3097863361 2837 7TH AVENUE ROCK ISLAND IL 61201 MIKE HOWARD TRUSTEE 3.00 X 0 0 0 BJ SORENSEN TRUSTEE 3.00 X 0 0 0 CLINT HOEGER TRUSTEE 3.00 X 0 0 0 TIMOTHY FOSTER TRUSTEE 3.00 X 0 0 0 DAVID ADAMS TRUSTEE 3.00 X 0 0 0 BRADLY LONG TRUSTEE 3.00 X 0 0 0 PAUL FOLEY TRUSTEE 3.00 X 0 0 0 JULIE LAGE ADMINISTRATOR 40.00 X 102500 0 32773 102500 0 32773 1 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 5443876 5443876 SELF PAY CONTRIBUTIONS 525100 400925 400925 5844801 909677 909677 6998498 7070226 -71728 -71728 -71728 RECIPROCAL TRANSFERS 525100 973818 973818 RETIREE SUPPLEMENT 525100 592349 592349 MISCELLANEOUS 525100 33194 33194 1599361 8282111 7444162 0 837949 6958818 6958818 135273 135273 49264 49264 27456 27456 11819 11819 62801 62801 28300 28300 209536 209536 34879 34879 6223 6223 7800 7800 3893 3893 1051 1051 19414 19414 CLAIMS ADMINISTRATION 403799 403799 RECIPROCAL TRANSFER 265416 265416 CONSULTING 38700 38700 PREFERRED PROVIDER OPTI 36089 36089 28365 28365 8328896 8328896 0 0 20 20 1085611 1098292 734778 682981 15331 13947 36511 34024 3538 2487 34813788 37760968 669078 154314 37322144 39713009 170800 245743 7779632 7346836 7950432 7592579 X 29371712 32120430 29371712 32120430 37322144 39713009 X -46785 2333669 461834 X X 0 1 X 1 0 36511 34024 2487 2487 ESTIMATED FUTURE BENEFITS - PARTICIPANTS ELIGIBILITY 7346836 7346836 X 10140828 2333669 2333669 7807159 209536 265416 474952 8282111 7824906 0 7824906 209536 294454 503990 8328896 PART X, LINE 2: THE PLAN HAS OBTAINED A FAVORABLE TAX DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE DATED AUGUST 28, 1967, STATING THAT THE PLAN IS QUALIFIED PURSUANT TO SECTION 501(C)(9) OF THE INTERNAL REVENUE CODE (IRC), AND, ACCORDINGLY, THE PLAN'S NET INVESTMENT INCOME IS EXEMPT FROM INCOME TAXES. THE PLAN SPONSOR BELIEVES THAT THE PLAN, AS AMENDED, CONTINUES TO QUALIFY AND TO OPERATE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE INTERNAL REVENUE CODE. IN ADDITION, THE PLAN AND THE TRUST ARE REQUIRED TO OPERATE IN CONFORMITY WITH THE IRC TO MAINTAIN THE TAX-EXEMPT STATUS OF THE TRUST. THE PLAN ADMINISTRATOR BELIEVES THAT THE PLAN IS BEING OPERATED IN COMPLIANCE WITH THE APPLICABLE REQUIREMENTS OF THE IRC AND, THEREFORE, BELIEVES THAT THE RELATED TRUST IS TAX-EXEMPT. U.S. GAAP REQUIRES PLAN MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE PLAN AND TO RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE PLAN HAS TAKEN AN UNCERTAIN POSITION THAT, MORE LIKELY THAN NOT, WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE DEPARTMENT OF LABOR OR INTERNAL REVENUE SERVICE. THE PLAN ADMINISTRATOR HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. GENERALLY, FOR UNITED STATES FEDERAL INCOME TAXES, THE PLAN IS ONLY SUBJECT TO EXAMINATION FOR THE CURRENT YEAR'S TAX RETURN AND THE PRECEDING THREE YEARS' RETURNS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECIPROCAL AGREEMENTS 265,416. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECIPROCAL AGREEMENTS 265,416. CHANGE IN BENEFIT OBLIGATIONS PAYABLE 29,038. FORM 990, PART VI, SECTION A, LINE 6 THE PLAN AND RELATED TRUST WERE ESTABLISHED PURSUANT TO A COLLECTIVE BARGAINING AGREEMENT BETWEEN THE LABORERS' INTERNATIONAL UNION OF NORTH AMERICA, LOCAL UNION NO. 309, AFL-CIO THE QUAD CITY BUILDERS ASSOCIATION, INC., AND THE ASSOCIATED CONTRACTORS OF THE QUAD CITIES. THE PLAN PROVIDES HEALTH AND WELFARE BENEFITS TO FULLTIME PARTICIPANTS AND TO THEIR BENEFICIARIES AND COVERED DEPENDENTS. RETIRED MEMBERS ARE ENTITLED TO SIMILAR HEALTH BENEFITS PROVIDED THEY CONTINUE TO REMIT THE MONTHLY PREMIUMS DETERMINED PERIODICALLY BY THE PLAN AS A SELF-PAY MEMBER. FOR EVERY HOUR THAT A PARTICIPANT WORKS, THE UNION CONTRACTOR IS REQUIRED TO PAY A CONTRACTUAL RATE TO FUND THE HEALTH AND WELFARE PLAN. FORM 990, PART VI, SECTION B, LINE 11B THERE IS A FORMAL REVIEW OF THE AUDIT REPORT WHERE BY ALL BOARD MEMBERS ARE PRESENT. FINANCIAL INFORMATION USED IN THE PREPARATION OF THE FORM 990 COMES DIRECTLY FROM THE FINAL AUDIT REPORT AND ITS DISCLOSURES. FORM 990, PART VI, SECTION B, LINE 15 IN DECEMBER OF EACH YEAR THE COMPENSATION COMMITTEE CONDUCTS PERFORMANCE REVIEWS OF ALL ITS EMPLOYEES. RECOMMENDATIONS FOR INCREASE IN COMPENSATION AND BENEFITS PACKAGES ARE PRESENTED TO THE FULL BOARD FOR FINAL APPROVAL. THE COMPENSATION IS THEN DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION SENDS ALL OF ITS PARTICIPANTS A SUMMARY OF THE ANNUAL REPORT FOR THE NORTHERN ILLINOIS & IOWA LABORERS HEALTH & WELFARE TRUST PLAN BASED ON THE FORM 5500. INCLUDED IN THE REPORT IS A SECTION EXPLAINING THE PARTICIPANT'S RIGHTS TO ADDITIONAL INFORMATION AND HOW TO OBTAIN ADDITIONAL INFORMATION FROM THE PLAN ADMINISTRATOR. PARTICIPANTS MAY WRITE OR REQUEST IN PERSON A COPY OF THE REPORT AT NO ADDITIONAL CHARGE. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, TAX RETURNS, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET CHANGE IN ACCUMULATED ELIGIBILITY CREDITS 461,834. 990, PART XII, LINE 2C NO CHANGES HAVE BEEN MADE TO THE PROCESS INVOLVING THE OVERSIGHT OF THE AUDIT. 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